| NPI | 1538727409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101287659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 333664) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT218178) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-10-16 |