| NPI | 1720097850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD063044L) |
| 208M00000X Hospitalist (Licence: PA MD063044L) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-04-18 |