| NPI | 1487099818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD466173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A141860) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2021-04-15 |