| NPI | 1043430325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48163) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N7072) |
| 208M00000X Hospitalist (Licence: CO DR.0048163) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-01-25 |