| NPI | 1326203035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 44375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA md444511) |
| 208M00000X Hospitalist (Licence: PA MD444511) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2021-05-24 |