| NPI | 1831112408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD039209E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD039209E) |
| 208D00000X General Practice (Licence: PA MD039209E) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-02-11 |