| NPI | 1194984815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD476258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476258) |
| 207R00000X Internal Medicine (Licence: KY 49450) | |
| 208M00000X Hospitalist (Licence: KY 49450) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT222240) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-02-09 |