| NPI | 1417219122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0066014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255127) |
| 207R00000X Internal Medicine (Licence: PA MD467277) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2021-07-02 |