| NPI | 1952318925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 44007) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR0044007) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2015-05-07 |