| NPI | 1447207832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-6842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00020847) |
| 208M00000X Hospitalist (Licence: WA MD00020847) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-06-13 |