| NPI | 1346609070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP60832959) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60832959) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2018-07-16 |