| NPI | 1174957062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A13623) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 114195) |
| 208M00000X Hospitalist (Licence: CA A13623) | |
| 207Q00000X Family Medicine (Licence: WY 13595C) | |
| 207Q00000X Family Medicine (Licence: CO DR.0066396) | |
| 208M00000X Hospitalist (Licence: CO DR.0066396) | |
| 208M00000X Hospitalist (Licence: WY 13288C) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2023-12-26 |