| NPI | 1265975155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.149476) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0063525) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2024-01-11 |