| NPI | 1063440998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA 00044953) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00044953) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA 00044953) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-03-07 |