| NPI | 1093943995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD451228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094984) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-05-17 |