| NPI | 1225577018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470661) |
| 208M00000X Hospitalist (Licence: PA MD470661) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-04-16 |