| NPI | 1720499023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A15654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A15654) |
| 207R00000X Internal Medicine (Licence: CO DR.0058883) | |
| 207R00000X Internal Medicine (Licence: WI 73424-21) | |
| 208M00000X Hospitalist (Licence: AZ 007274) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2025-03-17 |