| NPI | 1104077908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDR.0005269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0281) |
| 207R00000X Internal Medicine (Licence: CO CDR.0005269) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2025-09-02 |