| NPI | 1255537031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 51226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51226) |
| 207P00000X Emergency Medicine (Licence: CO 51226) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2025-11-06 |