| NPI | 1801049523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 55142) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 28281) |
| 208M00000X Hospitalist (Licence: CO DR.0055142) | |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2023-01-26 |