| NPI | 1538401617 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0056933) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0056933) | 
| Enumeration Date | 2013-03-26 | 
| Last Update Date | 2024-12-31 |