| NPI | 1720471824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101270961) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0073746) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2024-09-11 |