| NPI | 1770668428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0041360) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CO 41360) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-11-17 |