| NPI | 1801386453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD474680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474680) |
| 207R00000X Internal Medicine (Licence: DE C1-0025499) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-05-05 |