| NPI | 1023050549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD210106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD210106) |
| 208M00000X Hospitalist (Licence: KY 37413) | |
| 208M00000X Hospitalist (Licence: NM MD2013-0305) | |
| 207Q00000X Family Medicine (Licence: KY 37413) | |
| 208M00000X Hospitalist (Licence: AK 218703) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-05-08 |