| NPI | 1104076843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60138073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60138073) |
| 207R00000X Internal Medicine (Licence: PA MD437935) | |
| 207R00000X Internal Medicine (Licence: CA A116779) | |
| 207R00000X Internal Medicine (Licence: MA 253441) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2021-04-06 |