| NPI | 1033738976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0072469) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0072469) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0072469) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-09-30 |