NPI | 1508506247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD70026113) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD70026113) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-07-29 |