| NPI | 1447545330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 18083) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT199732) |
| 207P00000X Emergency Medicine (Licence: PA MD450220) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2015-11-11 |