| NPI | 1255838173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11170900) |
| 207R00000X Internal Medicine (Licence: PA MD477492) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT225312) | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2022-07-08 |