NPI | 1487065413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT205848) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 077624) |
207P00000X Emergency Medicine (Licence: VA 0101262466) | |
207P00000X Emergency Medicine (Licence: NC 2017-00861) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2017-07-24 |