| NPI | 1457731861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0072423) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 26076) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2026-07-10 |