| NPI | 1043299688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0035484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 015308) |
| 207R00000X Internal Medicine (Licence: CO DR.0035484) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2017-06-26 |