| NPI | 1164659793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60342138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60342138) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-09-27 |