| NPI | 1083844989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD445413) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT195818) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2021-07-09 |