| NPI | 1144266727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C-6692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00023516) |
| 208M00000X Hospitalist (Licence: AR C-6692) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-08-22 |