| NPI | 1245558337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD452323) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD452323) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2019-12-18 |