| NPI | 1861670200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60147259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 71011) |
| 208M00000X Hospitalist (Licence: WA MD60147259) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2024-11-19 |