| NPI | 1194753939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200801237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200801237) |
| 207R00000X Internal Medicine (Licence: WA MD00038503) | |
| 208M00000X Hospitalist (Licence: WA MD00038503) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-02-19 |