| NPI | 1528352499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0060570) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2015-01218) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0060570) | |
| 208000000X Pediatrics (Licence: NC 2015-01218) | |
| 208000000X Pediatrics (Licence: PA MT199981) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-08-27 |