| NPI | 1679664775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101012259) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 5101012259) |
| 207R00000X Internal Medicine (Licence: WA OP60633104) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-07-25 |