| NPI | 1477080075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS019721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10817700) |
| 207R00000X Internal Medicine (Licence: PA OS019721) | |
| 208M00000X Hospitalist (Licence: PA OS019721) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-11-20 |