| NPI | 1902843626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0043665) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0043665) |
| 207Q00000X Family Medicine (Licence: CO 43665) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-07-01 |