| NPI | 1013235514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT196913) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2020-02-13 |