| NPI | 1497076053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2023-01534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A141573) |
| 207R00000X Internal Medicine (Licence: IL 125-058488) | |
| 207R00000X Internal Medicine (Licence: MO 2019013057) | |
| 208M00000X Hospitalist (Licence: CO DR.0071799) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-10-23 |