| NPI | 1831830876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD489821) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-09-08 |