NPI | 1073883765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12117) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61002767) |
207Q00000X Family Medicine (Licence: OR DO196273) | |
208M00000X Hospitalist (Licence: OR DO196273) | |
208M00000X Hospitalist (Licence: WA OP61002767) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2022-03-01 |