| NPI | 1508832841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018004982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60095366) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD60095366) | |
| 208M00000X Hospitalist (Licence: WA MD60095366) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-03-17 |