| NPI | 1710337381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 146579) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD220649) |
| 207Q00000X Family Medicine (Licence: MI 4301109401) | |
| 207Q00000X Family Medicine (Licence: OR MD220649) | |
| 207Q00000X Family Medicine (Licence: AK 146579) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2024-10-23 |