| NPI | 1336377381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34011745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34011745) |
| 207R00000X Internal Medicine (Licence: WA OP60278518) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-02-01 |