NPI | 1336502293 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0060246) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 390200000X) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2020-07-17 |