| NPI | 1114987146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 276623) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 9978) |
| 207R00000X Internal Medicine (Licence: NV 9978) | |
| 207R00000X Internal Medicine (Licence: CO DR-44070) | |
| 208M00000X Hospitalist (Licence: MA 276623) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-03-08 |