| NPI | 1841639622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0066016) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA A142632) |
| 208M00000X Hospitalist (Licence: ME MD25303) | |
| 208M00000X Hospitalist (Licence: CO DR.0066016) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2024-05-09 |