| NPI | 1073777272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD470918) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD-15693) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-12-20 |