| NPI | 1881039816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 006774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0066206) |
| 207R00000X Internal Medicine (Licence: CA 20A14264) | |
| 208M00000X Hospitalist (Licence: CO DR.0066206) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-02-13 |