| NPI | 1225354756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 84830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0051704) |
| 207R00000X Internal Medicine (Licence: WI 84830) | |
| 208M00000X Hospitalist (Licence: CO DR.0051704) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2025-01-08 |