| NPI | 1083725097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD152492) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60063843) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-07-21 |