| NPI | 1386221174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0074783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0074783) |
| 207R00000X Internal Medicine (Licence: CO DR.0074783) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-07-14 |