| NPI | 1912438136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD211497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO CDRH.0065805) |
| 207R00000X Internal Medicine (Licence: KS 94-09331) | |
| 207R00000X Internal Medicine (Licence: ID MC-1055) | |
| 208M00000X Hospitalist (Licence: KS 0443538) | |
| 208M00000X Hospitalist (Licence: CO CDRH.0065805) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-09-27 |