| NPI | 1992110019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60715283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60715283) |
| 207R00000X Internal Medicine (Licence: WA 60715283) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-09-21 |