| NPI | 1720020951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO152371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP00002040) |
| 207R00000X Internal Medicine (Licence: OR DO152371) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-03-22 |