| NPI | 1770725392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: PA MD443892) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD443892) |
| 208M00000X Hospitalist (Licence: PA MD443892) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2023-04-06 |