| 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 |