| NPI | 1942377213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD486672) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 71411) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-10-03 |