| NPI | 1306154828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD449570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449570) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2025-02-11 |