NPI | 1295185668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10765000) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT210891) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2022-01-24 |