| NPI | 1962763938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 67439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 273490) |
| 207Q00000X Family Medicine (Licence: CO DR.0067439) | |
| 207R00000X Internal Medicine (Licence: CO DR.0067439) | |
| 207R00000X Internal Medicine (Licence: CA A149803) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2024-01-17 |