| NPI | 1497075394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60343035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245225) |
| 207R00000X Internal Medicine (Licence: WA MD60343035) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2024-03-29 |