| NPI | 1255607453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61126229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA BC61192336) |
| 207R00000X Internal Medicine (Licence: WA MD61126229) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2021-11-04 |