| NPI | 1376705897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61268845) |
| 208M00000X Hospitalist (Licence: OR MD28135) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-06-17 |