| NPI | 1619985926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0055184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67505) |
| 207R00000X Internal Medicine (Licence: VA 0101056073) | |
| 207R00000X Internal Medicine (Licence: CO DR.0055184) | |
| 208M00000X Hospitalist (Licence: VA 0101056073) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-05-14 |