| 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 |