| NPI | 1598955270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD432630) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 091407) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-07-15 |