| NPI | 1750499513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60245846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD29424) |
| 207R00000X Internal Medicine (Licence: WA MD60245846) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-07-28 |