| NPI | 1144570581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60515800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60515800) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-01-05 |