| NPI | 1447607171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61158561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 298699) |
| 208M00000X Hospitalist (Licence: WA MD61158561) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-05-04 |