| NPI | 1285893941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD151708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 44112) |
| 207R00000X Internal Medicine (Licence: WA MD60554965) | |
| 207R00000X Internal Medicine (Licence: OR MD151708) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-06-18 |