| NPI | 1356341945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD033462E) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD033462E) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-03-07 |