| NPI | 1649343278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00033879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00033879) |
| 208M00000X Hospitalist (Licence: WA MD00033879) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-12-04 |