| NPI | 1427073873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS-010851-L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58-000326) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-04-17 |