| NPI | 1649526211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 55515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-202812) |
| 208M00000X Hospitalist (Licence: CO DR.0055515) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-01-25 |