| NPI | 1609004068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD448674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD448674) |
| 208M00000X Hospitalist (Licence: OR CP209670) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-04-11 |