| NPI | 1437174844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C10003519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D36389) |
| 207P00000X Emergency Medicine (Licence: PA MD039451E) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-03-13 |