| NPI | 1992773063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0040562) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 40562) |
| 208M00000X Hospitalist (Licence: CO DR.0040562) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-12-10 |