| NPI | 1871533455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD439804) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D60147) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD439804) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-12-15 |