| NPI | 1952836363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD24464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 63932) |
| 208M00000X Hospitalist (Licence: CO DR.0063932) | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2021-07-19 |