| NPI | 1922274356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD445939) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 258223) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2021-02-05 |