| NPI | 1851690317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD179119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 54096) |
| 208M00000X Hospitalist (Licence: CO DR.0054096) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2018-08-03 |