NPI | 1215032313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00042093) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 42093) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2025-07-10 |