| NPI | 1811288772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 172650) |
| 208M00000X Hospitalist (Licence: CO 53798) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2016-11-14 |