| NPI | 1588928162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD457692) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA MD457692) |
| 207P00000X Emergency Medicine (Licence: MD D79574) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2016-07-28 |