| NPI | 1760701478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101255663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255663) |
| 207R00000X Internal Medicine (Licence: WA MD61215001) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-07-08 |