| NPI | 1366897209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0068237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-00913) |
| 207R00000X Internal Medicine (Licence: CO DR.0068237) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-06-26 |