| NPI | 1174567804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD00038999) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD162031) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-04-25 |