| NPI | 1841514601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD462408) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD042767) |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10014200) | |
| 207P00000X Emergency Medicine (Licence: MD D0075657) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2018-03-14 |