| NPI | 1689674400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD058188L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD058188L) |
| 207Q00000X Family Medicine (Licence: PA MD058188L) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2024-09-12 |