| NPI | 1477746527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD434871) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT188062) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-06-18 |