| NPI | 1275282915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0075379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0075379) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2025-07-10 |