| NPI | 1003442153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 23928) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-15433) |
| 208M00000X Hospitalist (Licence: NV 23928) | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-10-30 |