| NPI | 1700248978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS023046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS16048) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-05-13 |