NPI | 1063466456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD056502L) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA069594) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2007-07-08 |