| NPI | 1144884487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD477239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT217285) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-06-14 |