| NPI | 1881632420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 31696) |
| 207R00000X Internal Medicine (Licence: IA MD48511) | |
| 174400000X Specialist (Licence: WA MD00045977) | |
| 207R00000X Internal Medicine (Licence: ME MD26379) | |
| 207R00000X Internal Medicine (Licence: MI EMC0002355) | |
| 208M00000X Hospitalist (Licence: WA MD00045977) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-09-21 |