| NPI | 1568647162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 36300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 43658) |
| 207Q00000X Family Medicine (Licence: AZ 36300) | |
| 207Q00000X Family Medicine (Licence: TN 43658) | |
| 207Q00000X Family Medicine (Licence: CO DR.0071486) | |
| 208M00000X Hospitalist (Licence: CO DR.0071486) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2024-01-29 |