NPI | 1831536440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MT 203941) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09815400) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2016-07-01 |