| NPI | 1144289679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0067340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091719) |
| 207R00000X Internal Medicine (Licence: AR E4516) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2026-06-22 |