| NPI | 1891940300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD436364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA mt189309) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2018-04-24 |