| NPI | 1043730807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0064513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11019) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-04-05 |