| NPI | 1780645754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 24057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 88292) |
| 208M00000X Hospitalist (Licence: CO 24057) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-12-06 |