| NPI | 1043871809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT219189) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT219189) | |
| 208M00000X Hospitalist (Licence: NM MD2022-1210) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-08-25 |