| NPI | 1629247689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60097298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0454) |
| 208M00000X Hospitalist (Licence: WA OP60097298) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2010-11-09 |