| NPI | 1730155490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0046160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003002293) |
| 208M00000X Hospitalist (Licence: MO 2003002293) | |
| 208M00000X Hospitalist (Licence: CO DR.0046160) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2016-11-23 |