| NPI | 1447464490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD439689) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-11-17 |