| NPI | 1982859351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E 6225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E6225) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT187633) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2022-02-11 |