NPI | 1306416060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA12139500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT222489) |
Enumeration Date | 2021-06-25 |
Last Update Date | 2024-08-28 |