| NPI | 1972714277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP6077121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58002036) |
| 208M00000X Hospitalist (Licence: WA OP60077121) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-01-25 |