| NPI | 1386919595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A151576) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0055488) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-03-17 |