| NPI | 1144293531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD057937L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME139230) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-11-10 |