| NPI | 1801840202 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR M7888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00041834) |
| 208M00000X Hospitalist (Licence: WA MD00041834) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-05-10 |