| NPI | 1972824043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD172973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 3607) |
| 208M00000X Hospitalist (Licence: OR MD172973) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-02-15 |