| NPI | 1467484592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD0349497L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD039497L) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD039497L) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-22 |