| NPI | 1033151030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 15080) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD423938) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-08-24 |