| NPI | 1730308396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60359473) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60359473) |
| 207R00000X Internal Medicine (Licence: IL 036-113358) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-06-16 |