NPI | 1932633146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0069350) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5627) |
207R00000X Internal Medicine (Licence: CO DR.0069350) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-06-14 |