| NPI | 1215039821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00049245) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00049245) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2016-03-16 |