| NPI | 1780971341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0063315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006411) |
| 207R00000X Internal Medicine (Licence: CO DR.0063315) | |
| 208M00000X Hospitalist (Licence: AZ 006411) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-02-01 |