| NPI | 1699077263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60332000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35-097132) |
| 207R00000X Internal Medicine (Licence: OH 35-097132) | |
| 207R00000X Internal Medicine (Licence: WA MD60332000) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2025-10-31 |