| NPI | 1043591308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD452220) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-08-20 |