| NPI | 1033153184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD020893E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07376100) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-06-17 |