| NPI | 1518937507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 010453) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO CDRH.0038909) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2026-03-17 |