| NPI | 1548485618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058575) |
| 207R00000X Internal Medicine (Licence: MI 4301086215) | |
| 208M00000X Hospitalist (Licence: MI 4301086215) | |
| 208M00000X Hospitalist (Licence: CO DR.0058575) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-03-15 |