| NPI | 1619315793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0074271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0074271) |
| 208000000X Pediatrics (Licence: IA MD-43172) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2025-03-03 |