| NPI | 1194992115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD 00049475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00049475) |
| 207R00000X Internal Medicine (Licence: TX S0597) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-05-28 |