| NPI | 1730285594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60206150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006006293) |
| 208M00000X Hospitalist (Licence: WA MD60206150) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-04-20 |