| NPI | 1770015513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD479681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD479681) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD479681) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-07-31 |