| NPI | 1154514701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 435261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435261) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2021-03-22 |