| NPI | 1356737233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 64769) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60770050) |
| 207R00000X Internal Medicine (Licence: WA MD60770050) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-07-09 |