NPI | 1154730695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0055519) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2014-0770) |
208M00000X Hospitalist (Licence: CO DR.0055519) | |
Enumeration Date | 2014-08-08 |
Last Update Date | 2023-01-25 |