| NPI | 1689604589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00040987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 00040987) |
| 208M00000X Hospitalist (Licence: WA MD00040987) | |
| 208M00000X Hospitalist (Licence: WA 00040987) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-07 |