| NPI | 1003278169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0073558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 279393) |
| 207R00000X Internal Medicine (Licence: FL ME146712) | |
| 208M00000X Hospitalist (Licence: FL ME146712) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2024-08-14 |