| 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 |