| NPI | 1821198912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA md453656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228167) |
| 207R00000X Internal Medicine (Licence: PA MD453656) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-04-10 |