| NPI | 1447244074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD448364) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: DE Pending-1) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-12-11 |