| NPI | 1467424259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 41100) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0041100) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-01-26 |