| NPI | 1962964551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477917) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IA MD-51474) |
| 207R00000X Internal Medicine (Licence: PA MD477917) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-31 |