| NPI | 1386771061 |
|---|---|
| Former Name | JOHN THOMAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD431266) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD431266) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-08-11 |