| NPI | 1629414636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0056689) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301102886) |
| 207R00000X Internal Medicine (Licence: CO DR.0056689) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-06-11 |