| NPI | 1336482769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0056648)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0056648)  | 
| Enumeration Date | 2013-04-04 | 
| Last Update Date | 2018-11-19 |