NPI | 1235710823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0073764) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0073764) |
Enumeration Date | 2021-04-15 |
Last Update Date | 2025-08-13 |