| NPI | 1376887257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 56051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 35302) |
| 207R00000X Internal Medicine (Licence: CO 56051) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2023-12-11 |