NPI | 1154576841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015076) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT12242) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2020-06-24 |