| NPI | 1588710255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0047899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 27046) |
| 207R00000X Internal Medicine (Licence: WA 61634599) | |
| 207R00000X Internal Medicine (Licence: CO DR.0047899) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-05-28 |