| NPI | 1215275797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDRH.0055798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 55798) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2022-01-04 |