| NPI | 1184689598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD422766) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME113915) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-11-17 |