| NPI | 1225180201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0051090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51090) |
| 208M00000X Hospitalist (Licence: CO DR.0051090) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-05-07 |