| NPI | 1417396573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60654433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60654433) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-10-09 |