| NPI | 1457441032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 42762) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 42762) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-10-24 |