| NPI | 1891136842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60639341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9606) |
| 208M00000X Hospitalist (Licence: WA MD60639341) | |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2021-03-29 |