| NPI | 1528224334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 260881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT189347) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2026-03-03 |