| NPI | 1881610038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00049435) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WA MD00049435) |
| 208M00000X Hospitalist (Licence: WA MD00049435) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-05-17 |