| NPI | 1881756039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00040662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040662) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-09-26 |