| NPI | 1851031108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0075317) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0075317) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-07-30 |