| NPI | 1356702245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60961777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60961777) |
| 208M00000X Hospitalist (Licence: WA MD60961777) | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-07-11 |