| NPI | 1346869740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2025-0713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0070986) |
| 208M00000X Hospitalist (Licence: CO DR.0070986) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-07-02 |