| NPI | 1942465950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD442218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442053) |
| 207R00000X Internal Medicine (Licence: PA MT193006) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2019-12-10 |