| NPI | 1255584397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CDR.0002240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.054775) |
| 207R00000X Internal Medicine (Licence: TX Q7046) | |
| 208M00000X Hospitalist (Licence: CO CDR.0002240) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2024-01-03 |