| NPI | 1336551076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0072822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03155) |
| 208M00000X Hospitalist (Licence: NH 18381) | |
| 207R00000X Internal Medicine (Licence: NH 18381) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-06-06 |