| NPI | 1518192244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015285) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: PA OS015285) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-03-06 |