| NPI | 1205005642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00049369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD037173) |
| 208M00000X Hospitalist (Licence: WA MD00049369) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2021-05-18 |