| NPI | 1932133907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD067927L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 4490) |
| 207P00000X Emergency Medicine (Licence: NY 241661) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-07-23 |