| NPI | 1134532450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 97689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25204) |
| 207R00000X Internal Medicine (Licence: WA MD60948644) | |
| 208M00000X Hospitalist (Licence: WA MD60948644) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-12-14 |