| NPI | 1407844335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0025189) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 25189) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-11-17 |