| NPI | 1366874372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS020406) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MB12090100) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2024-01-18 |