| NPI | 1285939918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60934552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.097309) |
| 208M00000X Hospitalist (Licence: WA MD60934552) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2020-02-11 |