| NPI | 1144254723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 40831) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD428707) |
| 207P00000X Emergency Medicine (Licence: CA C156475) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-07-24 |