| NPI | 1447677588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD464721) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-01-31 |