| NPI | 1992814909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 25602) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD00042970) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-10-31 |