| NPI | 1992955488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61306472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61306472) |
| 207R00000X Internal Medicine (Licence: FL ME120446) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2024-06-12 |