| NPI | 1376084012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO3162) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO3162) |
| 208M00000X Hospitalist (Licence: NE 1972) | |
| 207R00000X Internal Medicine (Licence: CO DR.0071592) | |
| 207R00000X Internal Medicine (Licence: NE 1972) | |
| 208M00000X Hospitalist (Licence: CO DR.0071592) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2023-11-16 |