| NPI | 1306334727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD471736) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0025668) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2023-01-18 |