| NPI | 1508111089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO180672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0056830) |
| 208M00000X Hospitalist (Licence: NM A-1859-15) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2021-07-23 |