| NPI | 1952741811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61483713) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH EL0059) |
| 208M00000X Hospitalist (Licence: NH 20483) | |
| 207R00000X Internal Medicine (Licence: ME MD22286) | |
| 208M00000X Hospitalist (Licence: OR 192362) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-11-27 |