| NPI | 1083977441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD452738) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT201263) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-10-25 |