| NPI | 1326007238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 51774) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD040114E) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2021-06-29 |