| NPI | 1780333104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0075438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0075438) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-07-10 |