| NPI | 1265010573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT021079) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS023675) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2025-08-11 |