| NPI | 1710195904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00048029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00048029) |
| 207R00000X Internal Medicine (Licence: MN 69125) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2024-01-30 |