| NPI | 1598183717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0060217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65130) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-08-20 |