| NPI | 1356640924 |
|---|---|
| Former Name | JORDAN BENJAMIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD451869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101-252769) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2016-07-15 |