| NPI | 1073544946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD422572) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD422572) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-09-12 |