| NPI | 1235359696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2009-01688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01688) |
| 207R00000X Internal Medicine (Licence: WA MD60678004) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-04-24 |