| NPI | 1447834171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD483465) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MTZ222745) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-02-16 |