| NPI | 1790480267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0077487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0077487) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-06-01 |