| NPI | 1295266484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 68891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61195160) |
| 208M00000X Hospitalist (Licence: NY 308323) | |
| 208M00000X Hospitalist (Licence: WA MD61195160) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-01-23 |