| NPI | 1417452871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD478421) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0090732) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-07-18 |