| NPI | 1407116874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60543508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 183060) |
| 208M00000X Hospitalist (Licence: WA MD60543508) | |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2021-03-29 |