| NPI | 1740743186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0069071) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID 7181911) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-07-28 |