| NPI | 1508122136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60652482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60652482) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-02-06 |