| NPI | 1386874998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD453561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24971) |
| 208M00000X Hospitalist (Licence: PA MD453561) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2021-01-16 |