| 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 |