NPI | 1457536203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08780600) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS014683) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2024-10-17 |