| NPI | 1689045684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10233300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD464391) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-07-06 |