NPI | 1598057937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0054202) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 54202) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2018-07-06 |