| NPI | 1306924691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 88612) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00033077) |
| 207R00000X Internal Medicine (Licence: WA MD00033077) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-11-07 |