| NPI | 1942233564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD173729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00041482) |
| 208M00000X Hospitalist (Licence: WA MD00041482) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-09-01 |