| NPI | 1619231305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD454677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201954) |
| 207R00000X Internal Medicine (Licence: PA MD454677) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2017-05-04 |