| NPI | 1952476996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0051665) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0051665) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2018-11-17 |