| NPI | 1053698878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-17971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-17971) |
| 207R00000X Internal Medicine (Licence: CO DR.0050279) | |
| 208M00000X Hospitalist (Licence: VA 0101261600) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2021-07-21 |