| NPI | 1427343201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD449157) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA MD449157) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-04-11 |