| NPI | 1770618464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD451113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD451113) |
| 207R00000X Internal Medicine (Licence: RI MD13074) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-04-03 |