| NPI | 1427083484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD027781E) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD027781E) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-10-21 |