| NPI | 1588009633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD458817) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD458817) |
| 208000000X Pediatrics (Licence: PA MD458817) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2024-05-22 |