| NPI | 1235525965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61143898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1235525965) |
| 207R00000X Internal Medicine (Licence: WA MD61143898) | |
| 208M00000X Hospitalist (Licence: WI 67559-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-05-03 |