NPI | 1396003307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME122379) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT201108) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2015-07-10 |