| NPI | 1811254394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0061321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020079) |
| 208M00000X Hospitalist (Licence: CO DR.0061321) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2020-12-30 |