NPI | 1740785633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD479779) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: PA MD479779) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2024-08-08 |