| NPI | 1275854911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447637) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT197769) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-04-23 |