| NPI | 1447416862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4638) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 4638) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-10-21 |