| NPI | 1871750836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS014958) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012505) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-12-28 |