NPI | 1972892230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60403127) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208M00000X Hospitalist (Licence: WA MD60403127) | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2021-03-30 |