| NPI | 1346538246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD453486) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: PA MD453486) |
| 208M00000X Hospitalist (Licence: PA MD453486) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2017-06-01 |