| NPI | 1659483709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-038862-E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD038862E) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-08-19 |