| NPI | 1184815201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA TMD004786) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 249518) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-06-26 |