| NPI | 1427366723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CO CDRH.0006200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO CDRH.0006200) |
| 208M00000X Hospitalist (Licence: CO CDRH.0006200) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2023-08-16 |