| NPI | 1558541292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR-49608) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.49608) |
| 208M00000X Hospitalist (Licence: CO DR.49608) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-09-11 |