| NPI | 1548752132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 12777637-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0065936) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-04-07 |