| NPI | 1326429390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0065327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108093) |
| 208M00000X Hospitalist (Licence: NE 31774) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301108093) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-10-12 |