| NPI | 1255747713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-00101) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60741876) |
| 207R00000X Internal Medicine (Licence: WA MD60741876) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2024-05-14 |