| NPI | 1366838435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP60852913) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP60852913) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-11-12 |