| NPI | 1497774806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD483514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01050619A) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-03-27 |