| NPI | 1184150898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0068516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471620) |
| 208M00000X Hospitalist (Licence: CO DR.0068516) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-01-08 |