| NPI | 1366820557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDRH.0069168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO CDRH.0069168) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2026-03-11 |