| NPI | 1245727270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0072730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 291159) |
| 207R00000X Internal Medicine (Licence: OH 35.140815) | |
| 207R00000X Internal Medicine (Licence: CO DR.0072730) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-02-04 |