| NPI | 1851635981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0056806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 21719) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-11-19 |