| NPI | 1831540673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-50598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0063097) |
| 208M00000X Hospitalist (Licence: CO DR.0063097) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-09-10 |