| NPI | 1427162908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60022052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008476) |
| 208M00000X Hospitalist (Licence: WA MD60022052) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-06-22 |