| NPI | 1386883973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-01024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 54777) |
| 207R00000X Internal Medicine (Licence: SC 1565) | |
| 208M00000X Hospitalist (Licence: SC 1565) | |
| 207R00000X Internal Medicine (Licence: PA ot012776) | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2024-03-20 |