| NPI | 1265607485 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD150061) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0069017) | 
| 208M00000X Hospitalist (Licence: OR MD150061) | |
| Enumeration Date | 2008-04-29 | 
| Last Update Date | 2024-05-01 |