| NPI | 1851300974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60286131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD210226) |
| 207R00000X Internal Medicine (Licence: WA MD60286131) | |
| 208M00000X Hospitalist (Licence: OR MD210226) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-08-25 |