NPI | 1609308311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062744) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0062744) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2024-01-29 |