| NPI | 1104204072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064653) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0064653) |
| 207R00000X Internal Medicine (Licence: AZ 56341) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-01-26 |