| NPI | 1407082134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD463262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD463262) |
| 207R00000X Internal Medicine (Licence: WV 25295) | |
| 207R00000X Internal Medicine (Licence: OH 35.099245) | |
| 207R00000X Internal Medicine (Licence: PA MT194189) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-09-27 |