NPI | 1851481972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD430138) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA md430138) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-01-22 |