| NPI | 1346660073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD471677) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 201161) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT214395) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2022-07-21 |