NPI | 1467430165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD436664) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD436664) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2020-10-02 |