| NPI | 1821070947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD073482L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD073482L) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-05-25 |