| NPI | 1184086258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD214605) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60880525) |
| 207R00000X Internal Medicine (Licence: WA MD60880525) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-05-31 |