| NPI | 1740507763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A119431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119431) |
| 207R00000X Internal Medicine (Licence: WA MD60763231) | |
| 208M00000X Hospitalist (Licence: WA MD60763231) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2021-11-24 |