| NPI | 1063041713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0073505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61324419) |
| 208M00000X Hospitalist (Licence: WA MD61324419) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2024-08-13 |