| NPI | 1477575686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 12468a) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 51632) |
| 207R00000X Internal Medicine (Licence: MI 5101012372) | |
| 208M00000X Hospitalist (Licence: CO 51632) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2025-03-18 |