| NPI | 1275763849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60276987) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60276987) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2013-03-28 |