| NPI | 1871856708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0057296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057296) |
| 207Q00000X Family Medicine (Licence: PA OT014462) | |
| 207Q00000X Family Medicine (Licence: CO DR.0057296) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-02-20 |