| NPI | 1336227107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301104324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR-48637) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR-48637) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301104324) | |
| 208M00000X Hospitalist (Licence: MI 4301104324) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-02-28 |