| NPI | 1790218436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD481129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 85738) |
| 208M00000X Hospitalist (Licence: IL 036163727) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-09-26 |