| NPI | 1346569001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61239126) |
| 208M00000X Hospitalist (Licence: HI MD-22500) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2024-02-01 |