| NPI | 1730422064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7792) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 953) |
| 207R00000X Internal Medicine (Licence: CO DR.056361) | |
| 208M00000X Hospitalist (Licence: CO CDRH.0056361) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2023-06-07 |