| NPI | 1366604589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD126182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 4835321-1205) |
| 207R00000X Internal Medicine (Licence: WA MD60840742) | |
| 208M00000X Hospitalist (Licence: OR MD126182) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2021-02-12 |