| NPI | 1861620254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD188661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK MEDS7545) |
| 208M00000X Hospitalist (Licence: WA MD60226439) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-02-24 |