| NPI | 1225457674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 62329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR0058086) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-12-07 |