| NPI | 1083669964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD447885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447885) |
| 207R00000X Internal Medicine (Licence: MD D0063178) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD447885) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-02-06 |