| NPI | 1275594061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0037313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 37313) |
| 208M00000X Hospitalist (Licence: CO DR.0037313) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-01-26 |