NPI | 1578774394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA0869950) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD439172) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2024-02-21 |