| NPI | 1154565158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60084606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60084606) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-04-27 |