| NPI | 1700380292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61146897) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61146897) |
| 208M00000X Hospitalist (Licence: WA MD61146897) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-11-04 |