| NPI | 1487884573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60095480) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD6009580) |
| 208M00000X Hospitalist (Licence: WA MD60095480) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2010-11-09 |