| NPI | 1336501774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0062238) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-11-26 |