| NPI | 1578964508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD477103) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A132132) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2024-07-26 |