| NPI | 1205860202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 12734) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-03-06 |