NPI | 1316568199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD480863) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT220101) |
Enumeration Date | 2020-05-03 |
Last Update Date | 2024-06-04 |