| NPI | 1730346461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD441887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD441887) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-05-21 |