| NPI | 1497910236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD459450) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-36386) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-01-27 |