| NPI | 1831540673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-50598) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0063097) |
| 207R00000X Internal Medicine (Licence: CO DR.0063097) | |
| 208M00000X Hospitalist (Licence: CA 185096) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-06-28 |