| NPI | 1053759142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019015700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076775A) |
| 208M00000X Hospitalist (Licence: CO DR.0058623) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-06-24 |