| NPI | 1871580134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD22014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22014) |
| 208M00000X Hospitalist (Licence: WA MD00042878) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2021-03-25 |