| NPI | 1174716427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60084847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD156309) |
| 208M00000X Hospitalist (Licence: OR MD156309) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2018-09-26 |