| NPI | 1285868927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2013-0301) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT194910) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2022-06-14 |