| NPI | 1275988073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61264258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO194185) |
| 207R00000X Internal Medicine (Licence: WA OP61264258) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-05-23 |