| NPI | 1760003727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R78097) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0071639) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-06-14 |