NPI | 1073503371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD448123) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 214889) |
207R00000X Internal Medicine (Licence: MA 214889) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2019-05-24 |