NPI | 1972545176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0048631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J9793) |
208M00000X Hospitalist (Licence: CO DR.0048631) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-02-01 |