| NPI | 1821589250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-13716) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0077622) |
| 207Q00000X Family Medicine (Licence: CO DR.0077622) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2026-05-04 |