| NPI | 1447876008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT221764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A197040) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-07-17 |