| NPI | 1467870477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX s5290) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460183) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-04-20 |