NPI | 1073930012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0058904) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0058904) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-08-01 |