| NPI | 1346265709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 11004969-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00045230) |
| 208M00000X Hospitalist (Licence: WV 27885) | |
| 208M00000X Hospitalist (Licence: UT 11004969-1205) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |