| NPI | 1275946071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461760) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT207359) |
| 207R00000X Internal Medicine (Licence: PA MD461760) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-01-30 |