| NPI | 1558397273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD450395) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0057181) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-01-15 |