| NPI | 1285688630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD195466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD195466) |
| 207R00000X Internal Medicine (Licence: WA MD00049434) | |
| 208M00000X Hospitalist (Licence: WA MD00049434) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2026-07-09 |