| NPI | 1548557838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60634144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60634144) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-10-09 |