| NPI | 1497055909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD447665) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A125405) |
| 207P00000X Emergency Medicine (Licence: PA 197311) | |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2023-11-29 |