| NPI | 1548352644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0424731) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0057726) |
| 208M00000X Hospitalist (Licence: KS 04-24731) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-08-08 |