| NPI | 1366693210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD214768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD214768) |
| 207R00000X Internal Medicine (Licence: WA MD60268718) | |
| 208M00000X Hospitalist (Licence: WA MD60268718) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2024-04-10 |