| NPI | 1144632274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0063620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0063620) |
| 207R00000X Internal Medicine (Licence: OH 34.012825) | |
| 207R00000X Internal Medicine (Licence: PA OS017874) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2021-04-27 |