| 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 |