| NPI | 1013925767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2005-01208) |
| 208M00000X Hospitalist (Licence: NC 2005-01208) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-10-25 |