| NPI | 1811146970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60078533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60078533) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2010-07-14 |