| NPI | 1346606001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD465705) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 288093) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-10-08 |