| NPI | 1932281250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60037720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 60032720) |
| 207R00000X Internal Medicine (Licence: WA MD60037720) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-03-23 |