| NPI | 1295157642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 112757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60776030) |
| 208M00000X Hospitalist (Licence: WA MD60776030) | |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2023-10-06 |