| NPI | 1871098640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0068699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 55395) |
| 207R00000X Internal Medicine (Licence: KY R4879) | |
| 208M00000X Hospitalist (Licence: KY 55395) | |
| 208M00000X Hospitalist (Licence: KY TP106) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-05-10 |