| NPI | 1619296795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.42619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014012620) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2014012620) | |
| 208M00000X Hospitalist (Licence: MO 2014012620) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-07-28 |