| NPI | 1326571886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 65376) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0073945) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-09-04 |