| NPI | 1437509783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062654) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0062654) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL 0006260) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-01-24 |