| NPI | 1164484564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 34536) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0034536) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-01-26 |