| NPI | 1780021774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61227108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61227108) |
| 207R00000X Internal Medicine (Licence: IL 036.140039) | |
| 208M00000X Hospitalist (Licence: IL 036140039) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2024-01-26 |