| NPI | 1356480388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO Dr.0068115) |
| 207R00000X Internal Medicine (Licence: NM 2006-0386) | |
| 208M00000X Hospitalist (Licence: CO DR.0068115) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-29 |