| NPI | 1164437935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA CA53084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040699) |
| 208M00000X Hospitalist (Licence: WA MD00040699) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-08-05 |