NPI | 1417451584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0062879) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0062879) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2021-08-02 |