NPI | 1841438546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS020202) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01304300) |
207P00000X Emergency Medicine (Licence: PA OT017706) | |
Enumeration Date | 2009-02-03 |
Last Update Date | 2022-05-13 |