| NPI | 1679969331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0061874) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0061874) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-09-16 |