| NPI | 1295996908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 253685) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015468) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2011-10-25 |