| NPI | 1275093726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.72679) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 89780) |
| 207R00000X Internal Medicine (Licence: CO DR.0072679) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-07-27 |