| NPI | 1134280217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD429752) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT184485) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-06 |