| NPI | 1457436271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00016725) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00016725) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-10-01 |