| NPI | 1467491043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD018618) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000018618) |
| 207P00000X Emergency Medicine (Licence: PA MD442282) | |
| 207P00000X Emergency Medicine (Licence: WV 24889) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-04-17 |