| NPI | 1295995223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD435419) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA MD435419) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD435419) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2016-09-13 |