| NPI | 1205272614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 0061313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 1167492) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-01-28 |