| NPI | 1285632307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 43145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0043145) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-05-27 |