| NPI | 1710149349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD447807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL Applied for) |
| 208M00000X Hospitalist (Licence: PA MD447807) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-12-12 |