| NPI | 1437416179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61374801) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: OR MD171773) | |
| 207R00000X Internal Medicine (Licence: CA A150281) | |
| 208M00000X Hospitalist (Licence: CA A150281) | |
| 208M00000X Hospitalist (Licence: OR MD171773) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-02-03 |