| NPI | 1184155335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD209905) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S4815) |
| 207R00000X Internal Medicine (Licence: WA MD61280047) | |
| 208M00000X Hospitalist (Licence: OR MD209905) | |
| 208M00000X Hospitalist (Licence: WA MD61280047) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-11-28 |