| NPI | 1437339272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 52806-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119404) |
| 207R00000X Internal Medicine (Licence: WA MD60877192) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-12-19 |