| NPI | 1548470354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60495004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 094460) |
| 207R00000X Internal Medicine (Licence: WA MD60495004) | |
| 208M00000X Hospitalist (Licence: OH 094460) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-06-22 |