| NPI | 1568814036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 320703) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0072124) |
| 208M00000X Hospitalist (Licence: LA 320703) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2023-12-13 |