| NPI | 1730199225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00027963) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00027963) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-01-09 |