| NPI | 1497064463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD454518) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A13264) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2016-12-29 |