| NPI | 1851654891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD180717) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD 60549040) |
| 208M00000X Hospitalist (Licence: OR MD180717) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-11-29 |