| NPI | 1619008414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR0043231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 43231) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-06-02 |