| NPI | 1871908574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD462226) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD462226) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-12-23 |