| NPI | 1831536366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD457608) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT204512) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2016-08-01 |