| NPI | 1831540103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 000593) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0059807) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-01-07 |