NPI | 1922590868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D96689) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT215013) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2023-08-08 |