| NPI | 1942563952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0065614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34713) |
| 208M00000X Hospitalist (Licence: CO DR.0065614) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-02-22 |