| NPI | 1376706408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD437951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437951) |
| 207R00000X Internal Medicine (Licence: MD D0069318) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-03-07 |