| NPI | 1891055729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0055001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0055001) |
| 207R00000X Internal Medicine (Licence: FL TRN17547) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2024-06-10 |