| NPI | 1538424692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60518863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60518863) |
| 207R00000X Internal Medicine (Licence: MI 4301100555) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2025-06-25 |