| NPI | 1144751850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0064374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0064374) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-10-02 |