| NPI | 1942539986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61387438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2090) |
| 207R00000X Internal Medicine (Licence: WA OP61387438) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2023-10-06 |