| NPI | 1386906923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT202338) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A158428) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2021-11-22 |