| NPI | 1235288283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD068021L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0027210) |
| 207P00000X Emergency Medicine (Licence: MD D0101773) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-04-22 |