| NPI | 1285165688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 322405) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD470566) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-09-19 |