| NPI | 1295135101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61260250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61260250) |
| 208M00000X Hospitalist (Licence: OR MD180436) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-05-18 |