| NPI | 1871150789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0067946) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO DR.0067946) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO DR.0067946) | |
| 208M00000X Hospitalist (Licence: CO DR.0067946) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2023-08-15 |