| NPI | 1609003086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112224) |
| 208M00000X Hospitalist (Licence: MI 4301112224) | |
| 208M00000X Hospitalist (Licence: MO 2012003997) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-09-27 |