| NPI | 1285052084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0060706) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A140107) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0060706) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-12-03 |