| NPI | 1497942064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60044510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD185231) |
| 208M00000X Hospitalist (Licence: NV 12458) | |
| 207R00000X Internal Medicine (Licence: WA MD60044510) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2025-08-12 |