| NPI | 1316925886 |
|---|---|
| Former Name | PAMELA BURWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 1915) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2016-06-23 |