| NPI | 1558524595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0059460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0059460) |
| 207R00000X Internal Medicine (Licence: PA OT012684) | |
| 208M00000X Hospitalist (Licence: CO 0059460) | |
| 208M00000X Hospitalist (Licence: KS 05-47024) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-02-02 |