NPI | 1013388545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 13210A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0069580) |
207Q00000X Family Medicine (Licence: WY TL6376) | |
208M00000X Hospitalist (Licence: CO DR.0069580) | |
208M00000X Hospitalist (Licence: WY TL6376) | |
208M00000X Hospitalist (Licence: WY 13210A) | |
Enumeration Date | 2015-10-09 |
Last Update Date | 2022-09-21 |