| NPI | 1508157736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0070983) |
| 208M00000X Hospitalist (Licence: CO DR.0070983) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-04-24 |