| NPI | 1073812863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0061684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274294) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2019-08-15 |