| NPI | 1225568165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD471104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112407) |
| 208M00000X Hospitalist (Licence: PA MD471104) | |
| 207R00000X Internal Medicine (Licence: PA MT-215659) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-03-18 |