-
Gender
Male
Board certifications
American Board of Family Medicine
Licenses
NV, 20121
Employed or contracted
Contracted
Network Name
OptumCare Network of Nevada
PCP ID
UHC HMO & D-SNP ID - 00010012554, UHC PPO ID - 00010898776, Humana ID - 408058Z
NPI
1033571617
Hospital affiliations
Northern Nevada Medical Center
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