| NPI | 1952792400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61464476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61464476) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61464476) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-09-27 |