| NPI | 1467611806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 10191A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL-2829) |
| 207Q00000X Family Medicine (Licence: CO dr.0048616) | |
| 208M00000X Hospitalist (Licence: WY 10191A) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2023-01-05 |