| NPI | 1235392176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 249206) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD433221) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-11-20 |