NPI | 1922274356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD445939) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 258223) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2021-02-05 |