| NPI | 1205273927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0057375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74098) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2020-11-30 |