| NPI | 1710048038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD427203) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT182909) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2009-03-20 |