| NPI | 1558596403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195507) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2015-07-06 |