| NPI | 1063711513 |
|---|---|
| Former Name | BRANDON FAIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60388633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60388633) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-10-30 |