| NPI | 1841635406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0070471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT med-phys-lic-66647) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-10-26 |