| NPI | 1326067059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD037309E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD037309E) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD037309E) | |
| 208D00000X General Practice (Licence: PA MD037309E) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-06-10 |