| NPI | 1376989277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 16907A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0064642) |
| 207R00000X Internal Medicine (Licence: WY 16907A) | |
| 208M00000X Hospitalist (Licence: IL 036-140289) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2024-05-03 |