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 |