| NPI | 1205963709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD435383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0003466) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-04-29 |