NPI | 1972063543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 008913) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 008913) |
208M00000X Hospitalist (Licence: CO DR.0075390) | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2025-06-25 |