| NPI | 1326457474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60735787) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60735787) |
| 207R00000X Internal Medicine (Licence: WA MD60735787) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2025-09-03 |