NPI | 1457365926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 37528) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 189143) |
208M00000X Hospitalist (Licence: CO DR.0037528) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-02-07 |