| NPI | 1033155247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0019085) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD447333) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-07-09 |