| NPI | 1417161977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.130222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60310185) |
| 207R00000X Internal Medicine (Licence: OH 35.130222) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD60310185) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-05-05 |