| NPI | 1568438679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 245822) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD073935L) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-05-30 |