| NPI | 1568583086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0046594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016557) |
| 207R00000X Internal Medicine (Licence: CO 46594) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-01-24 |