| NPI | 1932139599 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD041668E) | 
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD041668E) | 
| Enumeration Date | 2006-07-03 | 
| Last Update Date | 2013-05-21 |