NPI | 1649776527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO Dr.0066709) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO Dr.0066709) |
Enumeration Date | 2018-04-01 |
Last Update Date | 2022-07-13 |