| NPI | 1326143447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00041386) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 41386) |
| 208M00000X Hospitalist (Licence: WA MD00041386) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-03-29 |