| NPI | 1841290962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD042602L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD042602L) |
| 208M00000X Hospitalist (Licence: PA BW2398546) | |
| 207Q00000X Family Medicine (Licence: PA MD-042602L) | |
| 207Q00000X Family Medicine (Licence: PA BW2398546) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2026-05-12 |