| NPI | 1972684249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS012864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012864) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-11-15 |