NPI | 1700181054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD032938E) |
Additional Taxonomies | 208D00000X General Practice (Licence: PA MD032938E) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-01-18 |