| NPI | 1467647958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD436735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT188792) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2009-05-08 |