| NPI | 1245524214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD450777) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD450777) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-06-08 |