NPI | 1174750335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60575477) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD161200) |
207R00000X Internal Medicine (Licence: WA MD60575477) | |
207R00000X Internal Medicine (Licence: MT 47189) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-11-11 |