| NPI | 1558822783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 24266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0074454) |
| 208M00000X Hospitalist (Licence: NV 24266) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-02-28 |