| NPI | 1063459311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C195808) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 40674) |
| 207Q00000X Family Medicine (Licence: HI 15006) | |
| 207Q00000X Family Medicine (Licence: AK 5282) | |
| 208M00000X Hospitalist (Licence: CA C195808) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-08-21 |