| NPI | 1881606408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P2009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60707440) |
| 208M00000X Hospitalist (Licence: WA MD60707440) | |
| 208M00000X Hospitalist (Licence: ME MD25839) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-04-01 |