| NPI | 1427476886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60670596)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP60670596)  | 
| 208M00000X Hospitalist (Licence: WA OP60670596)  | |
| Enumeration Date | 2014-04-02 | 
| Last Update Date | 2023-06-28 |