| NPI | 1942692694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0063980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO dr.0063980) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2020-07-16 |