NPI | 1548282700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0046797) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI DP014651) |
207R00000X Internal Medicine (Licence: CO 46797) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2023-01-25 |