| NPI | 1083939979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0052156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 52156) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-11-19 |