NPI | 1083977441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD452738) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT201263) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2024-10-25 |