| NPI | 1265434633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60092350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 9906) |
| 208M00000X Hospitalist (Licence: NV 9906) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-11-19 |