| NPI | 1124377882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD 60479287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60479287) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2024-06-18 |