| NPI | 1720217631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D76556) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD442760) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2024-04-02 |