NPI | 1700819307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00035804) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD35804) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2017-04-13 |