| NPI | 1669887287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0060965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0060965) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-11-01 |