NPI | 1760635833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60208873) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD.MD.60208873) |
207R00000X Internal Medicine (Licence: OR MD185141) | |
208M00000X Hospitalist (Licence: WA MD.MD.60208873) | |
208M00000X Hospitalist (Licence: OR MD185141) | |
Enumeration Date | 2008-11-02 |
Last Update Date | 2023-08-15 |