NPI | 1447244074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD448364) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: DE Pending-1) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2014-12-11 |