| NPI | 1679784979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 56350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119322) |
| 207R00000X Internal Medicine (Licence: CO DR.0056350) | |
| 208M00000X Hospitalist (Licence: IL 036119322) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-06-29 |