| NPI | 1518931955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0027813) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 27813) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-01-12 |