| NPI | 1447579586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT196615) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 49548) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-08-20 |