| NPI | 1255787628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020009352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020009352) |
| 207R00000X Internal Medicine (Licence: CO DR.0064002) | |
| 208M00000X Hospitalist (Licence: IL 036151949) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-10-04 |