| NPI | 1477654747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00043765) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G77828) |
| 208M00000X Hospitalist (Licence: AZ 54177) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-07-25 |