| NPI | 1437419256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT212142) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 81585) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2023-10-20 |