NPI | 1033569009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD469790) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD469790) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2020-07-30 |