| NPI | 1366400178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO DR.0035456) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 35456) |
| 208M00000X Hospitalist (Licence: CO DR.0035456) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-02-14 |