| NPI | 1528160280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 51651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51651) |
| 207R00000X Internal Medicine (Licence: WA MD00046676) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-08-13 |