NPI | 1134292733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD431375) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 219632) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2022-07-21 |