NPI | 1154728715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD468976) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 289677) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-11-25 |
Last Update Date | 2023-09-28 |