| NPI | 1871510842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD444322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 9781) |
| 208M00000X Hospitalist (Licence: PA MD444322) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-04-13 |