| NPI | 1417451477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR0066316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL0007124) |
| 207R00000X Internal Medicine (Licence: CO DR0066316) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-09-23 |