| NPI | 1003137613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447379) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD447379) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-06-09 |