| NPI | 1841491727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD459432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A95021) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2017-02-13 |