| NPI | 1639509490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR0060906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127938) |
| 207R00000X Internal Medicine (Licence: CO DR0060906) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2019-04-25 |