NPI | 1235219205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00031760) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 10789) |
208M00000X Hospitalist (Licence: WA MD00031760) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-03-30 |