| 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 |