| NPI | 1043226251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 252345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046525) |
| 208M00000X Hospitalist (Licence: WA MD00046525) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-08-30 |