| NPI | 1548722994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD478145) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MD478145) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-08-08 |