NPI | 1982896361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60335778) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60335778) |
207R00000X Internal Medicine (Licence: MD D72514) | |
Enumeration Date | 2007-08-09 |
Last Update Date | 2020-07-30 |