| NPI | 1063556801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 22383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0022383) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 22383) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-05-13 |