| NPI | 1437673977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 70655) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.139761) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212447) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2024-06-17 |