| NPI | 1427246594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD440524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190539) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2020-11-02 |