| NPI | 1649929464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0076428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0076428) |
| 207R00000X Internal Medicine (Licence: IL 125.079285) | |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2026-01-27 |