NPI | 1386093904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0064744) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0064744) |
Enumeration Date | 2016-06-04 |
Last Update Date | 2024-01-31 |