| NPI | 1083989537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203352) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0060314) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2019-11-19 |