| NPI | 1003076233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60215612) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60215612) |
| 207R00000X Internal Medicine (Licence: TN 54234) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2016-05-27 |