| NPI | 1700239654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60970394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11510070-1204) |
| 208M00000X Hospitalist (Licence: UT 11510070-1204) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2021-07-28 |