| NPI | 1578050266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0007279) |
| 208M00000X Hospitalist (Licence: CO DR.0062850) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007279) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-07-22 |