| NPI | 1720174386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461401) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0053071) |
| 207R00000X Internal Medicine (Licence: MD D0053071) | |
| 207R00000X Internal Medicine (Licence: PA MD461401) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-10-10 |