NPI | 1780819771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9463450-1204) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT012855) |
207P00000X Emergency Medicine (Licence: GA 070013) | |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 070013) | |
Enumeration Date | 2009-05-20 |
Last Update Date | 2022-07-28 |