| NPI | 1659487700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00046843) |
| 207R00000X Internal Medicine (Licence: WA MD00046843) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2026-02-06 |