| NPI | 1003906686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0037435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 37435) |
| 208M00000X Hospitalist (Licence: CO 37435) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-11-19 |