| NPI | 1952408825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A104584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047006) |
| 208M00000X Hospitalist (Licence: CA A104584) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-10-03 |