| NPI | 1215429097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61464098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 85479) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: WA MD61464098) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-11-12 |