| NPI | 1447439682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 13324) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 235665) |
| 207Q00000X Family Medicine (Licence: CA C168138) | |
| 208M00000X Hospitalist (Licence: MA 235665) | |
| 208M00000X Hospitalist (Licence: NV 13324) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-05-29 |