| NPI | 1568786465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0056725) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35120990) |
| 208M00000X Hospitalist (Licence: CO DR.0056725) | |
| 207R00000X Internal Medicine (Licence: WA MD61149438) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2025-11-12 |