| NPI | 1154434199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60071497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A049514) |
| 208M00000X Hospitalist (Licence: GA 071373) | |
| 208M00000X Hospitalist (Licence: OR MD167895) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-08-15 |