| NPI | 1851481972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD430138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA md430138) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-01-22 |