| NPI | 1144670050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD465259) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT210895) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-02-14 |