| NPI | 1760642268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61429690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-21910) |
| 208M00000X Hospitalist (Licence: SC 38559) | |
| 208M00000X Hospitalist (Licence: HI MD-21910) | |
| 208600000X Surgery (Licence: MA L-237496) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-08-15 |