| NPI | 1265616296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A119921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245672) |
| 207R00000X Internal Medicine (Licence: WA MD60070574) | |
| 208M00000X Hospitalist (Licence: WA MD60070574) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-02-16 |