| NPI | 1194991901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO29350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61580368) |
| 208M00000X Hospitalist (Licence: WA OP61580368) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2025-02-13 |