| NPI | 1437150976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00034987) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00034987) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-05-16 |