| NPI | 1376593970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00041056) |
| 208M00000X Hospitalist (Licence: WA MD00041056) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-06-14 |