| NPI | 1396784336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0046505) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD448245) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-02-17 |