| NPI | 1750744116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062265) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0062265) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0062265) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2024-05-27 |