| NPI | 1407065576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 201970) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0062910) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-01-15 |