| NPI | 1386080950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD458922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203971) |
| 207R00000X Internal Medicine (Licence: PA MD458922) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-04-20 |