| NPI | 1639551435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A168763) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60882397) |
| 208M00000X Hospitalist (Licence: CA A168763) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-10-30 |