| NPI | 1144251752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 220141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD423338) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-31 |