| NPI | 1417198870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD436462) |
| 208M00000X Hospitalist (Licence: PA MD436462) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2021-07-22 |