| NPI | 1790751626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD033853E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD033853E) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD033853E) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-05-22 |