NPI | 1255838173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 92850) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11170900) |
207R00000X Internal Medicine (Licence: PA MD477492) | |
208M00000X Hospitalist (Licence: PA MD477492) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT225312) | |
Enumeration Date | 2018-04-08 |
Last Update Date | 2024-08-29 |