| NPI | 1184669749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00038377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00038377) |
| 208M00000X Hospitalist (Licence: WA MD00038377) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-11-30 |