| NPI | 1548498751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD446118) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 203BE0004X) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-07-30 |