| NPI | 1720018781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00038167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00038167) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2010-05-05 |