| NPI | 1992934624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP60729233) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA OP60729233) |
| 207R00000X Internal Medicine (Licence: WA OP60729233) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2025-05-30 |