| NPI | 1780181578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD218416) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA 135862) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-08-10 |