| NPI | 1679070080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA OP61161603) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA OP61161603) |
| 207R00000X Internal Medicine (Licence: WA OP61161603) | |
| 207R00000X Internal Medicine (Licence: OR DO213361) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-10-22 |