| NPI | 1821256082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD440122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D74371) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-01-30 |