| NPI | 1184828477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 46191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185232) |
| 207R00000X Internal Medicine (Licence: CO 46191) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-08-13 |