| NPI | 1427075068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD153577) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00041233) |
| 208M00000X Hospitalist (Licence: CA A80214) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-03-22 |