| NPI | 1508076985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60228651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086542) |
| 207R00000X Internal Medicine (Licence: ID M 12986) | |
| 207R00000X Internal Medicine (Licence: WA MD 60228651) | |
| 207R00000X Internal Medicine (Licence: CO 46897) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-03-16 |