| NPI | 1720665342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61562313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61562313) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-08-07 |