| NPI | 1558382150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A132689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A132689) |
| 207R00000X Internal Medicine (Licence: WA MD60506629) | |
| 208M00000X Hospitalist (Licence: CA A132689) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-04-28 |