| NPI | 1225447782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 21668) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460292) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-01-03 |