| NPI | 1932693942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS024409) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA FK5000360) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-02-26 |