| NPI | 1548539182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD044996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT203415) |
| 207P00000X Emergency Medicine (Licence: MD D0083018) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2018-03-17 |