| NPI | 1568692648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CO DR.0050050) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CO 50050) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-3257) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-11-16 |