| NPI | 1427631282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD484650) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222495) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-04-16 |