NPI | 1790425056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0075114) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0075114) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-06-05 |