NPI | 1457913873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS022163) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS022163) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019373) | |
Enumeration Date | 2019-07-05 |
Last Update Date | 2022-08-26 |