| NPI | 1295926269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT186323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D71361) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-10-31 |