| NPI | 1609972769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 45091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37475) |
| 208M00000X Hospitalist (Licence: CO DR.0045091) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-03-07 |