NPI | 1912070988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD073734L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD073734L) |
207R00000X Internal Medicine (Licence: PA MD073734L) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-07-24 |