| NPI | 1497114557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0068978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR0068978) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-06-14 |