| NPI | 1275725897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME113517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT190143) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD438336) | |
| 207P00000X Emergency Medicine (Licence: UT 7605335-1205) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2012-11-27 |