NPI | 1386818342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0049036) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 49036) |
Enumeration Date | 2008-04-21 |
Last Update Date | 2023-03-15 |