| NPI | 1023350949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD470151) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 61122) |
| 208M00000X Hospitalist (Licence: PA MD470151) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-10-11 |