| NPI | 1275894537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT014466) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-08-17 |