| NPI | 1699976522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 37181) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 37181) |
| 208M00000X Hospitalist (Licence: OK 27432) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-11-14 |