| NPI | 1386899557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME117383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61360783) |
| 208M00000X Hospitalist (Licence: FL ME117383) | |
| 208M00000X Hospitalist (Licence: WA MD61360783) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2025-07-08 |