| NPI | 1932173226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD421744) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: PA MD421744) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-07-18 |