| NPI | 1619592789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE DR-0026144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020203) |
| 207P00000X Emergency Medicine (Licence: MD H0100911) | |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2024-06-25 |