| NPI | 1386083236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-19497) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT203714) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-06-09 |