| NPI | 1184945438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0052080) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-3688) |
| 207R00000X Internal Medicine (Licence: CO DR.0052080) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2016-11-01 |