| NPI | 1588654834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0043946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 108180) |
| 207R00000X Internal Medicine (Licence: MT 12591) | |
| 207R00000X Internal Medicine (Licence: CO 43946) | |
| 208M00000X Hospitalist (Licence: GA 058066) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2022-01-04 |