| NPI | 1477797975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 99387) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.006015) |
| 207R00000X Internal Medicine (Licence: SC 35202) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-04-16 |