| NPI | 1316104060 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60082116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60082116) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-02-19 |