| NPI | 1891775565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G177629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO CDRH.0039944) |
| 208M00000X Hospitalist (Licence: CO CDRH.0039944) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-02-14 |