NPI | 1356634679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D79788) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD449364) |
207P00000X Emergency Medicine (Licence: PA MT199440) | |
Enumeration Date | 2011-05-19 |
Last Update Date | 2020-09-09 |