| NPI | 1649255811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD038348E) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD038348E) |
| Enumeration Date | 2005-12-10 |
| Last Update Date | 2024-02-23 |