| NPI | 1013240258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD459726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192093) |
| 207R00000X Internal Medicine (Licence: PA MD459726) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2024-09-04 |