| NPI | 1730177387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD039555E) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD039555E) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2025-01-03 |