| NPI | 1598258386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS na) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0062978) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2026-06-26 |