| NPI | 1023384336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35C.001135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO CDRH0056688) |
| 208M00000X Hospitalist (Licence: CO DR.0056688) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-03-27 |