| NPI | 1528298973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD460699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39965) |
| 207R00000X Internal Medicine (Licence: PA MD460699) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-02-08 |