| NPI | 1265061493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD.MD.61457059) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD.MD.61457059) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-09-05 |