| NPI | 1326433483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301505310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61344830) |
| 208M00000X Hospitalist (Licence: ND 20136) | |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2023-10-13 |