| NPI | 1033452883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA OS018868) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS018868) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: PA OT015060) | |
| 207R00000X Internal Medicine (Licence: PA OS018868) | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2025-05-12 |