| NPI | 1679070445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD475372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.137280) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD475372) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-09-27 |