| NPI | 1811425903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0062942) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 012426) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 012426) | |
| 208M00000X Hospitalist (Licence: CO 0062942) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2026-07-12 |