| NPI | 1326058371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60269944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A91803) |
| 208M00000X Hospitalist (Licence: OR MD191215) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-06-28 |