NPI | 1245854447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD481070) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT221212) |
207P00000X Emergency Medicine (Licence: PA FD2560969) | |
Enumeration Date | 2020-06-03 |
Last Update Date | 2023-10-13 |