NPI | 1174064505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0060888) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0060888) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2024-02-01 |