| NPI | 1265965925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0061071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0061071) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-01-29 |