| NPI | 1659538072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60259007) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60259007) |
| 207R00000X Internal Medicine (Licence: MI 4301087472) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-02-01 |