| NPI | 1669812368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 81129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0073747) |
| 208M00000X Hospitalist (Licence: CO DR.0073747) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-08-14 |