| 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 |