| NPI | 1245898394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0069273) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11587) |
| 208M00000X Hospitalist (Licence: CO DR.0069273) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-05-07 |