| NPI | 1922212000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR 48107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR 48107) |
| 207R00000X Internal Medicine (Licence: CO DR 48107) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-03-22 |