| NPI | 1194896969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 46255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP00002020) |
| 208M00000X Hospitalist (Licence: CO DR.0046255) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-01-25 |