| NPI | 1750549242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0051930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104048) |
| 207R00000X Internal Medicine (Licence: CO DR.0051930) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2019-11-27 |